2024 Clinical Practice Guidelines
The guidelines below were reviewed and adopted by the Passport by Molina Healthcare National Quality Improvement Committee and Health Equity Transformation Committee. Committee approval dates are shown for 2015 and beyond. All guidelines are reviewed monthly by the National Quality Improvement Committee and Health Equity Transformation Committee are approved annually unless otherwise noted.
Clinical guidelines are not used by Passport to decide benefit coverage. The guidelines are an educational tool to aid clinical decision-making. They are not a standard of care. The physician should adapt the guideline when clinical judgment so indicates.
Acute Stress and Post-Traumatic Stress Disorder (PTSD)
Passport has adopted the guideline for Acute Stress and Post-Traumatic Stress Disorder from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Published: June 2017
Revised: June 2023
Passport adopted/reviewed: March 2021, April 2022, January 2023, August 2023, February 2024
Anxiety/Panic Disorder
Passport has adopted the guideline for Anxiety/Panic Disorder from the American Academy of Clinical Psychiatrists.
The Clinical Practice Guideline may be accessed HERE.
Published: February 2021
Revised: February 2024
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Asthma
Passport has adopted the guideline for Diagnosis and Management of Asthma (EPR-3) from the National Institute of Health (NIH): National Heart, Lung, and Blood Institute (NHLBI).
The Clinical Practice Guideline may be accessed HERE.
Published: February 2007
Revised: December 2020
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Attention Deficit Hyperactivity Disorder (ADHD)
Passport has adopted the guideline for Diagnosis, Evaluation, and Treatment of Attention-Deficit Hyperactivity Disorder in Children and Adolescents from the Journal of the American Academy of Pediatrics (AAP).
The Clinical Practice Guideline may be accessed HERE.
Published: November 2011
Revised: October 2019
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Autism
Passport has adopted the guideline for Identification, Evaluation, and Management of Children with Autism Spectrum Disorder from The American Academy of Pediatrics.
The Clinical Practice Guideline may be accessed HERE.
Published: January 2020
Revised: N/A
Passport adopted/reviewed: September 2021, April 2022, January 2023, February 2024
Bipolar Disorder
Passport has adopted the guideline for Bipolar Disorder from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Published: May 2023
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Children with Special Health Care Needs
Passport has adopted the guideline for Promoting Health for Children and Youth with Special Health Care Needs from Bright Futures.
The Clinical Practice Guideline may be accessed HERE.
Published: 2017
Revised: N/A
Passport adopted/reviewed: August 2021, April 2022, January 2023, February 2024
Chronic Kidney Disease
Passport has adopted the guideline for Evaluation and Management of Chronic Kidney Disease Guideline from the National Kidney Foundation, Kidney Disease Outcome Quality Initiative (NKF KDOQI).
The Clinical Practice Guideline may be accessed HERE.
Published: March 2014
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Chronic Obstructive Pulmonary Disease
Passport has adopted the guideline for Global Strategy for Diagnosis, Management, and Prevention of COPD from the Global Initiative for Chronic Obstructive Lung Disease (GOLD).
The Clinical Practice Guideline may be accessed HERE.
Published: 2011
Revised: January 2024
Passport adopted/reviewed: March 2021, January 2022, April 2022, January 2023, February 2024
Depression
Passport has adopted the guideline for VA/VOD Clinical Practice Guideline for the Management of Major Depressive Disorder from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Published: February 2023
Revised: May 2023
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Diabetes
Passport has adopted the guideline for Diabetes from the American Diabetes Association (ADA).
The Clinical Practice Guideline may be accessed HERE.
Published: January 2015
Revised: January 2024
Passport adopted/reviewed: March 2021, February 2022, April 2022, January 2023, February 2024
Heart Failure in Adults
Passport has adopted the guideline for Management of Heart Failure from the American College of Cardiology (ACA).
The Clinical Practice Guideline may be accessed HERE.
Published: 2013
Revised: May 2022
Passport adopted/reviewed: March 2021, April 2022, July 2022, January 2023, February 2024
You may also visit the web site below for more information.
American College of Cardiology: HERE.
Homelessness – Special Health Care Needs
Passport has adopted the guideline for Adapting Your General Recommendations for the Care of Homeless Patients from the National Health Care for the Homeless Council.
The Clinical Practice Guideline may be accessed HERE.
Published: 2010
Revised: N/A
Passport adopted/reviewed: September 2021, April 2022, January 2023, February 2024
Hypertension
Passport has adopted the guideline for Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults from the American College of Cardiology.
The Clinical Practice Guideline may be accessed HERE.
Published: February 2014
Revised: May 2018
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Obesity
Passport has adopted the guideline for Comprehensive Medical Care of Patients with Obesity from the American Association of Clinical Endocrinologists (AACE).
The Clinical Practice Guideline may be accessed HERE.
Published: July 2016
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Opioid Management
Passport has adopted the guideline for Use of Medications in the Treatment of Addiction Involving Opioids from the American Society of Addiction Medicine (ASAM).
The Clinical Practice Guideline may be accessed HERE.
Published: June 2015
Revised: January 2020
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Passport has adopted the guideline CDC Guideline for Prescribing Opioids for Chronic Pain from the Centers for Disease Control and Prevention
The Clinical Practice Guideline may be accessed HERE.
Published: March 2016
Revised: November 2022
Passport adopted/reviewed: March 2021, April 2022, November 2022, January 2023, February 2024
Perinatal Care
Passport has adopted the guideline for Perinatal Care from the American College of Obstetricians and Gynecologists.
The Clinical Practice Guideline may be accessed HERE. - Guidelines can be reviewed by ACOG members only using a secure password.
Published: July 2012
Revised: September 2017
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Pregnancy Management
Passport has adopted the guideline for Routine Prenatal and Postnatal Care from Michigan Quality Improvement Consortium.
The Clinical Practice Guideline may be accessed HERE.
Published: 2018
Revised: June 2022
Passport adopted/reviewed: March 2021, April 2022, October 2022, January 2023, February 2024
Schizophrenia
Passport has adopted the guideline for Schizophrenia from the American Psychiatric Association,
The Clinical Practice Guideline may be accessed HERE.
Published: 2021
Revised: N/A
Passport adopted/reviewed: April 2021, April 2022, January 2023, February 2024
Sickle Cell Disease
Passport has adopted the guideline for Management of Sickle Cell Disease from the National Heart, Lung, and Blood Institute (NHLBI).
The Clinical Practice Guideline may be accessed HERE.
Published: December 2014
Revised: January 2020
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Substance Abuse Treatment
Passport has adopted the guideline for Detoxification and Substance Abuse Treatment from the Substance Abuse and Mental Health Services Administration (SAMHSA).
The Clinical Practice Guideline may be accessed HERE.
Published: October 2015
Revised: N/A
Passport adopted/reviewed: March 2021, April 2022, January 2023, February 2024
Suicide Risk
Passport has adopted the guideline for Assessment and Management of Patients at Risk for Suicide from the Department of Veterans Affairs & Department of Defense.
The Clinical Practice Guideline may be accessed HERE.
Published: May 2019
Revised: April 2024
Passport adopted/reviewed: August 2021, April 2022, January 2023, February 2024
Trauma-Informed Primary Care
Passport has adopted the guideline for Fostering Resilience and Recovery: A Change Package for Advancing Trauma-Informed Primary Care from The National Council for Mental Wellbeing.
The Clinical Practice Guideline may be accessed HERE.
Published: November 2019
Revised: N/A
Passport adopted/reviewed: August 2021, April 2022, January 2023, February 2024
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